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1730785122
NICOLE MECHAM
LAS VEGAS, NV
NPI
1730785122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 9796708-2402)
Enumeration Date
2020-12-10
Last Update Date
2020-12-10
Business Address
NICOLE MECHAM
7125 GRAND MONTECITO PKWY STE 120
LAS VEGAS, NV 89149-0261
Phone number: 702-515-1540
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Mailing Address
NICOLE MECHAM
22 NORTH 200 EAST. P.O.BOX 21026
AXTELL, UT 84621
Phone number: 435-893-1734
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